International journal of orthopaedic and trauma nursing · 2025
Pediatric critical care admission after scoliosis surgery in children with underlying conditions: requirements, evolution and comparison with healthy children.
СтатьяНаблюдательное исследованиеСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Cabrero Hernández Marta, García-Salido Alberto, Leoz-Gordillo Inés, de Lama Caro-Patón Gema, Unzueta-Roch José Luis, Egea-Gámez Rosa María, González-Díaz Rafael, Nieto-Moro Montserrat
Аннотация
AIMS: Research on postoperative care in pediatric intensive care units (PICU) for children with pre-existing medical conditions undergoing scoliosis surgery is limited. This study aims to describe their postoperative course and compare it with healthy children.
METHODS: A descriptive, observational, and retrospective study conducted in PICU. Done through medical record review.
RESULTS: Sixty patients included, 33 females (age of 13.6 ± 3.9 years). Among them, 44 had pre-existing medical conditions. The median PICU stay was two days (interquartile range, IQR, 1.25-4 days). Healthy patients experienced shorter stay (1.56 ± 0.81 days versus 8.84 ± 24.3 days, p = 0.01). Vasoactive drugs were only required in patients with underlying conditions (p = 0.027). Only one patient with IS required invasive mechanical ventilation (1/15, p = 0.047), and no deaths were reported.
CONCLUSIONS: In our study, children with an underlying condition needed more complex and prolonged PICU care. These findings could facilitate the prediction of postoperative needs in such patients.
LEVEL OF EVIDENCE: level IV, case series.
METHODS: A descriptive, observational, and retrospective study conducted in PICU. Done through medical record review.
RESULTS: Sixty patients included, 33 females (age of 13.6 ± 3.9 years). Among them, 44 had pre-existing medical conditions. The median PICU stay was two days (interquartile range, IQR, 1.25-4 days). Healthy patients experienced shorter stay (1.56 ± 0.81 days versus 8.84 ± 24.3 days, p = 0.01). Vasoactive drugs were only required in patients with underlying conditions (p = 0.027). Only one patient with IS required invasive mechanical ventilation (1/15, p = 0.047), and no deaths were reported.
CONCLUSIONS: In our study, children with an underlying condition needed more complex and prolonged PICU care. These findings could facilitate the prediction of postoperative needs in such patients.
LEVEL OF EVIDENCE: level IV, case series.